Method of Treating Lactose Intolerance Using Genetically Engineered Bacteria

ABSTRACT

The present invention relates to genetically engineered bacteria that are able to colonize the mammalian intestine and actively produce mammalian lactase (lactose-phlorizin hydrolase or LPH). This lactose-digesting enzyme is stable and active under the conditions normally found in the mammalian small intestine. Experimental subjects colonized with the genetically engineered bacteria show improved ability to digest lactose in dairy foods.

BACKGROUND OF THE INVENTION

Lactose Intolerance

Dairy foods are an important source of protein, riboflavin and calciumfor the United States, Europe, Asia, Africa and the many other areas ofthe world. However, many individuals suffer from lactose intolerance.This condition results from absence or insufficient production of theenzyme lactase. Acquired lactase deficiency is the most common disorderof complex carbohydrate absorption throughout the world, affecting up to75% percent of the world's population. In the United States, 15% ofCaucasians, over 50% of Hispanics and over 80% of African Americanssuffer from lactose intolerance. The disorder is characterized bygastrointestinal symptoms of excessive gas production, abdominal pain,cramps, bloating and diarrhea after excessive consumption oflactose-containing foods such as dairy and dairy-based products.

In infancy, mammals have a high level of lactase activity in the liningof the upper intestinal tract, because they depend on lactose as theprimary carbohydrate in their diet. However, in humans, the lactaseexpression is diminished by about 90% between ages two and five. Thiscondition is called primary lactase deficiency. Many Northern Europeans,some Western Europeans, Mediterraneans and their descendants carry amutation that prevents this natural decrease in lactase production.These individuals are able to consume milk as adults. However, largeportions of the world population, such as Southern Europeans, EastAsians and Sub-Saharan Africans have primary lactase deficiency.

Secondary lactase deficiency results from injury or disease of the smallintestine. For example, celiac disease, inflammatory bowel syndrome(IBS) and Crohn's disease are often accompanied by lactase deficiency.These diseases occur in all ethnic groups.

Lactose Metabolism

Lactose is a disaccharide of glucose and galactose linked by abeta-D-glycosidic bond. The disaccharide is digested into its individualsugars by the lactase (beta-D-galactosidase) produced in the smallintestine by the cells of the intestinal brush border. Glucose andgalactose are absorbed in the small intestine. When lactase is absentfrom the small intestine, undigested lactose reaches the largeintestine. There the resident bacteria metabolize lactose throughfermentation generating gas. The gas is responsible for symptoms such aspain, pressure, cramps and flatulence. In addition, the undigestedlactose increases osmotic pressure in the intestine, causing increasedexcretion of water and diarrhea.

Supplementing Lactase

There are several ways of delivering lactase to the gastrointestinaltract. As a simplest method, one can ingest a tablet of the isolatedenzyme. Enzymes that break down lactose may be isolated from a varietyof microorganisms, such as yeast, bacteria and fungi, such asSaccharomyces fragilis, Torula cermoris, Lactobacillus bulgaricus,Aspergillus oryzae, Aspergillus flavus and Aspergillus niger. Forexample, U.S. Pat. No. 2,762,749 teaches preparing a lactase enzyme frombudding yeast (Saccharomyces and Torula genuses) to supplement milkproducts where lactose crystallization is a problem. Lactase from fungi,such as Aspergillus, is described in U.S. Pat. No. 3,620,924. Isolatingbacterial lactase (from the genus Bacillus) is described in U.S. Pat.Nos. 4,179,335, 4,237,230 and 4,323,651.

Several problems are associated with lactase replacement products.First, these products are not retained in the gastrointestinal tract.Lactase pills must be taken with each diary-containing meal. When thesubject forgets to take the pill, or is unaware that food containsdairy, the symptoms of lactose intolerance are bound to recur.

Another problem is that many lactase enzymes from other species functionpoorly in the mammalian small intestine. The pH of the duodenum, wheremost of the normal lactose digestion occurs, is between 6.0 and 6.5. Incontrast, as taught in the U.S. Pat. No. 6,562,339, a fungal lactase hasa pH optimum of 4.8 and is only 10% active at pH 6.5. Many bacterialbeta-galactosidases have a pH optimum above 7.0. Fortunately, a fewenzymes from the Bacillus genus, as described for example, in U.S. Pat.No. 4,179,335, have a pH optimum near 6.0.

Another way to supplement lactase involves ingesting live or killedlactase-producing bacteria. For example, it is known that persons withmild lactose intolerance are able to tolerate yogurt but not milk,although both products contain the same amount of lactose. This is dueto the fact that bacteria present in yogurt, such as Streptococcusthermophilus, Lactobacilli, Acidophilus and Bifidus species, expressfunctional lactase. Thus, to improve the ability to digest lactose, onemay consume yogurt products containing live and active cultures of thesebacteria.

Alternatively, one can ingest capsules that contain lyophilized liveyogurt bacteria, as taught for example, in the U.S. Pat. No. 6,008,027.For an enhanced effect, bacteria can be combined with isolated lactasein the same enterically coated capsule, as taught in the U.S. Pat. No.5,952,021 or Application Publication No. 2005/0100535.

Besides yogurt bacteria, other lactase-producing species can be used toimprove lactose tolerance. For example, Korean researchers have isolatedstrains with lactase activity and good resistance to gastric acid. Thesestrains come from Lactobacillus fermentum, (WIPO PublicationKR3064030A), Lactococcus lactis (WIPO Publication KR4044300A) andLactobacillus plantarum (WIPO Publication KR2088797A).

Unfortunately, physicians report limited success with treating lactoseintolerance with naturally occurring bacterial cultures. The review ofthe literature conducted by family practitioners at the University ofPittsburg (“Do probiotics reduce adult lactose intolerance?” J. Fam.Pract., 2005; v. 54, No. 7, p. 613-620) concluded that overall, thestrategy was ineffective. The authors suggest that this is due tovariation in bacterial viability and ability to produce lactase betweenthe different dairy products and supplements. According to the study,with a few exceptions, most of these products do not provide sufficientlactase activity to alleviate the symptoms of lactose intolerance.

The symptoms of lactose intolerance were not relieved even when the mostpromising bacterium, Lactobacillus acidophilus was used. Among theyogurt bacteria, L. acidophilus has one of the highest natural levels oflactase and superior ability to adhere to the intestinal wall.Nevertheless, a Tufts University study “A randomized trial ofLactobacillus acidophilus BG2F04 to treat lactose intolerance”, Am. J.Clin. Nutr. 1999, 69:140-146, concluded that even this bacterium wasineffective against the symptoms of lactose intolerance.

Using genetically-engineered bacteria to digest lactose is also known inthe art. For example, U.S. Pat. No. 6,833,260 describes bacteriaengineered to produce bacterial beta-galactosidase under the control ofa constitutive promoter. Compared to the parent strain, the engineeredbacteria produce more enzyme, although it is still of bacterial origin.

A more aggressive method of treating lactose intolerance involves genetherapy where the lactase gene is delivered directly into the cells ofthe intestinal wall, as described in U.S. Pat. No. 6,110,456. Thismethod has several disadvantages. First, virus-driven gene therapycarries its own risks associated with the vector and the helper virus.Second, the target cells for the therapy, the intestinal epithelium, areconstantly shedding. Unless the stem cells at the base of the innerlayer of the intestinal wall are transformed with the new gene, theexpression of lactase will be temporary. The newly emerging layers ofintestinal cells would need to be repeatedly retransformed with anotherdose of the gene.

In summary, there is a need for a safe but long-lasting treatment oflactose intolerance. Ideally, one treatment would last for monthswithout re-application. An ideal treatment would involve a lactaseenzyme optimized for action under the conditions found in the mammaliansmall intestine.

SUMMARY OF THE INVENTION

The present invention relates to genetically engineered bacteria thatare able to colonize the mammalian intestine and actively producemammalian enzymes for the hydrolysis of lactose. The lactose-digestingenzymes are stable and active under the conditions normally found in themammalian small intestine.

DEFINITIONS

“Small intestine” is the part of the gastrointestinal tract between thestomach and the large intestine. In vertebrate animals, small intestineis composed of duodenum, jejunum, and ileum.

“Large intestine” is the final part of the gastrointestinal tract invertebrate animals.

“Resident bacteria” or “resident bacterial microflora” refers tobacteria that naturally colonize a host organ, such as gastrointestinaltract, or genetically altered strains of such bacteria.

“Gene” is the segment of DNA involved in producing a polypeptide chain;it includes regions preceding and following the coding sequence.

“Polypeptide” or “protein” is a polymer of amino acid residues encodedby at least a portion of the coding sequence of the gene.

“Enzymatically active protein” refers to a polypeptide that hasenzymatic activity i.e. can catalyze specific chemical reactions of theproper substrates under proper conditions either within or outside of acell where the polypeptide is produced.

“Genetically engineered bacteria” refers to bacterial cells thatreplicate a heterologous nucleic acid, or express a polypeptide encodedby a heterologous nucleic acid.

“Heterologous nucleic acid” is one that originates from a source foreignto the particular host cell, or, if from the same source, is modifiedfrom its original form.

“Promoter” is a nucleic acid sequence that acts as a signal sequencenecessary to initiate transcription of a gene.

“Gene expression” as referred to in this application is thetranscription (production of mRNA) followed by translation (productionof a polypeptide encoded by the gene).

“Plasmid” is circular double-stranded DNA molecule, separate fromchromosomal DNA and capable of autonomous replication and stablepropagation in the host cell.

“Lactic acid bacteria” is a group of bacterial species comprised of Grampositive, low-GC-content, acid tolerant, non-sporulating, non-respiringrods or cocci that produce lactic acid as the major metabolicend-product of carbohydrate fermentation. This group includes the generaof Lactobacillus, Leuconostoc, Pediococcus, Lactococcus, Streptococcus,Aerococcus, Carnobacterium, Enterococcus, Oenococcus, Teragenococcus,Vagococcus, and Weisella.

“Homolactic lactic acid bacteria” are a subgroup of lactic acid bacteriathat catabolize one mole of glucose through glycolysis(Embden-Meyerhof-Parnas (EMP) pathway) to yield two moles of pyruvatethat is further reduced to lactate. This subgroup includes the genera ofLactococcus, Enterococcus, Streptococcus and Pediococcus.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a map of the plasmid pS1234T.

FIG. 2 is a detailed map of the insert in the plasmid pS1234T.

DETAILED DESCRIPTION OF THE INVENTION

The present invention provides intestine-colonizing bacteria, such asfor example, Lactobacillus acidophilus, that are genetically altered toexpress mammalian lactase activity. Using genetically-engineered lacticacid bacteria has several advantages over the prior art method oflactase supplementation. First, bacteria are able to self-replicatewhile retaining the inserted lactase gene. Second, lactic acid bacteriaare normally present in milk and yogurt have been proven safe over themillennia since humans have been ingesting these foods.

Bacterial Strains

The preferred embodiment involves the use of bacterium Lactobacillusacidophilus, however other related or similar species found in dairyproducts may also be used. The suitable bacteria belong to the grouphomolactic Lactic Acid Bacteria (LAB). Representative homolactic LABgenera include Lactococcus, Enterococcus, Streptococcus, Pediococcus andgroup I lactobacilli. Common examples from this group includeLactobacillus acidophilus, Lactobacillus delbrueckii subsp. bulgaricus(often referred to as L. bulgaricus), Bifidobacterium lactis andStreptococcus thermophilus.

Lactobacillus acidophilus was originally isolated from feces of infants.It can also be isolated from mouth and vagina of children and adults. Inother animals, this bacterium can be found in the intestinal tract ofturkeys and chickens and mouth and intestinal tract of rats andhamsters. A strain of this species is available from American TissueCulture Collection (ATCC) as #53544. The strain was transformed with arecombinant genetic construct incorporating a coding sequence for amammalian lactase.

Lactase Gene

The mammalian gene selected for this invention is a human gene encodinglactase-phlorizin hydrolase (LPH) (Mantei, et al., EMBO J. 7:2705-2713(1988)). LPH, sometimes called small-intestinal lactase, is a majordigestive enzyme in the small intestine of newborns. The enzyme is firstsynthesized as a 215-245 kDa precursor, comprising four tandemlyrepeated domains (I-IV). Proteolytic cleavage of the precursor separatesLPH-alpha (domains I-II), devoid of enzymatic function, and liberatesthe mature enzyme, LPH-beta consisting of domains III and IV. LPH-betahas enzymatic activity and is anchored to the membrane via a C-terminalhydrophobic segment.

The lactase activity can be measured in vitro by any number ofwell-known methods. One method utilizesO-nitrophenyl-beta-D-galactopyranoside (ONPG) as a substrate andspectrophotometrically measures the product O-nitrophenol (ONP). Theamount of ONP is then divided by the reaction time and the weight of thereaction mixture or the number of cells in the reaction. A unit oflactase activity can be expressed in umol ONP/min per gram of dryweight.

Genetic Construct

The invention utilizes standard molecular biology techniques describedin Sambrook et al., Molecular Cloning, A Laboratory Manual (3^(rd). ed.,2001).

The genetic construct used for this invention is based on a plasmidvector pRLU61, capable of replicating in Gram-positive bacteria. SeeJost et al., Biochem. J. 327:95-103 (1997).

The mRNA sequence of human LPH (in the cDNA form) has a Genebankaccession no. X07994 and is reproduced below as SEQ. ID NO. 1.

Plasmid pS1234T (FIG. 1) was constructed by inserting the LPH cDNA(EcoRI fragment) into the unique EcoRI site of pRLU61. The full-lengthcDNA sequence of LPH was cloned as described in the Examples section. Inthe pS1234T, the LPH coding sequence is driven by a constitutive CMVpromoter.

The full-length precursor of LPH (domains I-IV) contained a proteolyticcleavage signal between domains II and III. When introduced into thehost cells, the precursor was cleaved by the host proteases as evidencedby the appearance of measurable lactase activity. The plasmid producedexpression of LPH in both prokaryotic and eukaryotic cells, includingrat epithelial cells and Chinese hamster ovary (CHO) cells and bacterialcells as further described below.

Experimental Animals

Rats (Sprague Dawley) were used for this experiment. The animals weredivided into six groups: Groups A and B received no treatments andserved as controls. Groups C and D ingested genetically engineeredLactobacillus acidophilus. Groups E and F ingested wild-typeLactobacillus acidophilus. In Groups C and E, prior to ingestion of thebacteria, the animal's gut was flushed with antibiotics for a day. Thenthe bacteria were ingested on the following day. This treatment enablesthe bacteria to gain competitive advantage over the preexistingmicroflora and take up residence in the small intestine.

After bacteria were given time to colonize the intestine, the animalswere fed lactose-containing foods and their blood glucose level wasmonitored. At the same time, blood lactase activity was measuredspectrophotometrically using ONPG as a substrate. As shown in Table 1,animals colonized with genetically engineered Lactobacillus acidophilus(Groups C and D) demonstrated the highest levels of lactase activity asmeasured directly and evidenced by the appearance of blood glucose.

Table 1 shows weekly measurements of blood glucose and lactase activityfollowing the initial ingestion of bacteria. After a 12-hour overnightfast, the animals were fed lactose-containing food. A duplicatemeasurement was taken at each of the indicated time points in minutesafter the animals consumed lactose-containing food. The measurementswere taken weekly for five weeks (W1-W5). Blood glucose is expressed inmg/dL, lactase activity is expressed in units equal to umol ONP/min pergram of dry weight

TABLE 1 Blood Glucose and Lactase Activity Blood Glucose LactaseActivity Min W 1 W 2 W 3 W 4 W 5 W 1 W 2 W 3 W 4 W 5 Group C(antibiotics pre-treatment and GE bacteria) 0 125 125 125 125 125 110110 110 110 110 125 125 125 125 125 110 110 110 110 110 30 160 161 160160 160 116 120 120 120 120 160 160 161 161 175 116 121 120 120 120 60175 177 170 175 180 135 135 136 136 136 175 177 170 176 181 135 136 136136 136 90 180 185 180 180 190 130 130 130 130 130 180 185 182 180 190130 130 130 130 130 120 190 190 190 190 190 140 142 140 140 140 190 190191 190 190 140 142 140 140 140 Group D (GE bacteria) 0 125 125 125 125125 110 110 110 110 110 125 125 125 125 125 110 110 110 110 110 30 160160 160 160 160 130 130 130 130 128 160 160 160 160 160 130 130 130 130128 60 185 185 180 180 180 160 160 160 160 160 185 185 180 180 180 160160 160 160 160 90 185 180 180 180 180 180 180 180 180 180 185 180 180180 180 180 180 180 180 180 120 180 180 185 185 180 180 180 180 180 180180 180 185 185 180 180 180 180 180 180 Blood Glucose, mg/dL LactaseActivity Min W 1 W 2 W 3 W 4 W 5 W 1 W 2 W 3 W 4 W 5 Group E(antibiotics pre-treatment and wild-type bacteria) 0 125 125 125 125 125110 110 110 110 110 125 125 125 125 125 110 110 110 110 110 30 140 140135 130 130 120 125 125 120 120 140 140 135 130 130 120 125 125 121 12060 160 160 161 160 160 130 130 130 135 130 160 160 160 160 160 130 130130 135 130 90 170 170 171 170 170 140 145 145 140 140 170 170 170 170170 140 145 145 141 140 120 175 175 172 170 170 140 145 140 140 145 175174 173 175 170 140 145 145 140 141 Group F (wild-type bacteria) 0 125125 125 125 125 110 110 110 110 110 125 125 125 125 125 110 110 110 110110 30 135 135 135 135 135 125 120 125 125 125 135 135 135 135 135 125120 125 125 125 60 160 170 160 160 160 135 130 130 128 130 160 170 160160 160 135 130 130 128 130 90 170 150 160 160 160 140 135 138 135 135170 150 160 160 160 140 135 138 135 135 120 175 175 165 165 165 140 145135 135 135 175 175 165 165 165 140 145 135 135 135

Next, lactase activity in the stool was measured. As shown in Table 2,animals colonized with genetically engineered Lactobacillus acidophilus(Groups C and D) demonstrated the highest levels of lactase activity inthe stool.

Table 2 shows weekly measurements of stool lactase activity followingthe initial ingestion of bacteria. A duplicate measurement was takeneach week. The measurements were taken weekly for seven weeks (W1-W7).Lactase activity is expressed in units equal to umol ONP/min per gram ofdry weight. The gender of the animals is also indicated as M or F.

TABLE 2 Stool Lactase Activity W 1 W 2 W 3 W 4 W 5 W 6 W 7 Group A(Control) M 110 110 110 110 110 110 110 M 110 110 110 110 110 109 109 F110 110 110 110 110 109 109 F 110 110 110 110 110 110 109 Group B(Control) M 110 110 110 109 110 110 110 M 110 110 110 109 110 110 110 F109 110 110 110 110 110 110 F 109 110 110 110 110 110 110 Group C(antibiotics pre-treatment and GE bacteria) M 202 200 202 202 202 202202 M 202 200 202 202 202 202 202 F 202 201 201 202 202 202 202 F 202201 201 202 202 202 202 Group D (GE bacteria) M 175 175 172 172 169 169165 M 175 175 172 172 169 169 165 F 175 175 172 172 169 169 164 F 175175 172 172 169 169 164 Group E (antibiotic pre-treatment and wild-typebacteria) M 150 150 149 150 136 136 136 M 150 150 149 149 136 136 136 F150 149 150 150 136 136 136 F 150 149 150 150 136 136 136 Group F(wild-type bacteria) M 160 160 160 160 135 138 135 M 160 160 160 160 135138 135 F 160 160 160 160 138 137 135 F 160 160 160 160 138 138 135

Finally, the animals were sacrificed and the intestinal lactase activitywas measured directly. As shown in Table 3, animals colonized withgenetically engineered Lactobacillus acidophilus (Groups C and D)demonstrated the highest levels of lactase activity in the extracts.

Table 3 shows lactase activity in umol ONP/min per gram of dry weight.For each animal a sample was taken from the stomach as well as twosections of the small intestine: duodenum and jejunum. The time ismeasured after the consumption of lactose-containing foods, following a12-hour overnight fast. Experimental Groups A-F are as described above.The gender of animals is indicated as M or F.

TABLE 3 Lactase Activity in Intestinal Sections Study Intestinal Lactaseactivity Group sections 0 min 60 min 90 min 120 min Group A Stomach 0.090.08 0.06 0.03 Duodenum 0.07 0.81 0.60 0.10 Jejunum 0.04 0.13 0.14 0.16Group B Stomach 0.08 0.09 0.05 0.04 Duodenum 0.08 0.91 0.81 0.10 Jejunum0.04 0.14 0.15 0.16 Group C Stomach 0.65 0.60 0.75 0.65 Duodenum 0.440.89 0.95 1.04 Jejunum 0.33 1.44 1.52 1.67 Group D Stomach 0.65 0.630.60 0.65 Duodenum 0.44 0.90 0.99 1.05 Jejunum 0.35 1.45 1.55 1.70 GroupE Stomach 0.42 0.45 0.50 0.40 Duodenum 0.35 0.70 0.80 0.95 Jejunum 0.200.99 1.02 1.30 Group F Stomach 0.36 0.39 0.40 0.40 Duodenum 029 0.690.71 0.92 Jejunum 0.20 0.98 1.01 1.20

In addition, the microflora from different parts of the intestine wasplated on the nutrient medium to assess the numbers of geneticallyengineered bacteria. As shown in Table 4, animals colonized withgenetically engineered Lactobacillus acidophilus (Groups C and D) hadthe highest numbers of lactase-positive bacteria in the duodenum. Therewere no lactase-positive bacteria in the duodenum of the untreatedanimals (Groups A and B). Animals treated with wild-type Lactobacillusacidophilus (Groups E and F) had fewer lactase-positive bacteria in theduodenum than Groups C and D. In addition, Group C had the highestnumber of lactase-positive bacteria in the jejunum.

Table 4 shows the number of colony-forming units (CFUs) recovered fromthe intestinal extracts of each animal. The male and female animals ineach group were used for each data point. Experimental Groups A-F are asdescribed above.

TABLE 4 Bacteria Recovered from Intestinal Sections Study IntestinalBacterial counts Group sections CFU/ml Group A Stomach 0 Duodenum 0Jejunum 10 Group B Stomach 0 Duodenum 0 Jejunum 25 Group C Stomach 0Duodenum 10 Jejunum 30 Group D Stomach 0 Duodenum 15 Jejunum 25 Group EStomach 0 Duodenum 5 Jejunum 10 Group F Stomach 0 Duodenum 6 Jejunum 15

Although the background information describes lactose intolerance inrelation to humans, the invention is not meant to be so limited. Othermammals, such as dogs, cats and rodents suffer from the same type ofprimary lactose intolerance in adulthood. Thus one of ordinary skill inthe art would be able to use the teachings of this invention to developa similar treatment of lactose intolerance in such mammals.

The present invention teaches genetically engineered bacteria that mustbe ingested in order to aid in the digestion of lactose. For oraladministration, the composition containing the bacteria of the presentinvention may be enclosed in an enterically coated capsule.

Such capsules are well known in the art. For example, U.S. Pat. No.5,633,012 describes methods of microencapsulating lyophilizedlactobacilli using alginate, polyacryl and a variety of other organicpolymers. U.S. Pat. No. 5,952,021 teaches encapsulating bacteria in amethylacrylate-based polymers sold under the brand names EUDRAGIT S® andEUDRAGIT L®. These polymers are insoluble in acid, but dissolve atneutral pH found in the small intestine.

As is demonstrated above, to maximize the competitive advantage of theingested bacteria, a subject may be pre-treated with an antibioticbefore the bacterial culture is administered. Suitable antibiotics are,for example amoxicillin and neomycin

As an alternative to lyophilization, the genetically engineered bacteriamay be ingested as a live culture. The bacteria may be suspended innutrient medium or prepared as a dairy product. Such products containinglive bacteria are well known in the art. For example, Bio-K+International, Inc. of Laval, Quebec, sells ½ oz cups of a yogurt-likeproduct that contains a concentrated culture (up to 50 billion) of liveand active cultures of lactobacilli. The cultures of the bacteria of thepresent invention may be prepared as a similar dairy product.

To maximize the survival of live cultures during the passage through thestomach, a subject may be pre-treated with a simple antacid such asbaking soda or Alka-Seltzer® or an acid-reducing medication, such asomperazole sold by Merck & Co. under the brand name PRILOSEC®.

EXAMPLES

The following examples are meant to illustrate but not limit theinvention.

Bacterial Strains

Bacterial strain was isolated from raw milk. The cultures were grown at37° C. The optimum temperature is 35-38° C. The upper limit oftemperature tolerance is about 48° C., the lower limit is above 22° C.,as no significant growth is observed at 22° C. Growth occurs at initialpH values between 5.0 and 7.0, but the optimum pH range is 5.5-6.0.

The cultures were grown in Terrific Broth medium (per liter: 12 gbacto-tyrptone, 24 g yeast extract, 4 ml glycerol, 0.017M KH₂PO₄, 0.072MK₂HPO₄). Biochemical characteristics of this species are as follows: itmetabolizes arginine into ammonia; ferments lactose into galactose andglucose, which in turn is further fermented into lactic acid; and alsoferments amygdalin, cellobiose, fructose, galactose and maltose.

Genetic Construct

The plasmid pS1234T for expression in L. acidophilus was obtained byfirst assembling an insert (FIG. 2) in an E. coli plasmid pLPH. Theplasmid pLPH was prepared in six steps.

First, screening of an intestinal cDNA library resulted in isolation ofa 2,400 bp clone that contained a BamHI/PvuII fragment encompassing theputative LPH cleavage site. The BamHI/PvuII fragment was isolated forcloning.

Second, an EcoRI/BamHI fragment, corresponding to the nucleotides 1-1244of the LPH cDNA was amplified by PCR using oligonucleotides LPH1 (SEQ IDNO. 2) and cLPH1300 (SEQ. ID NO. 3). This fragment was cloned into acommercially available vector pGEM4Z, generating a plasmid pLPH1. pLPH1contained nucleotides 1-1244 of LPH cDNA.

Third, a PvuII/HindIII fragment corresponding to the nucleotides2886-3572 of the LPH cDNA was amplified by PCR using oligonucleotidesLPH2841 (SEQ ID NO. 4) and cLPH3600 (SEQ. ID NO. 5). This PvuII/HindIIIfragment and the isolated BamHI/PvuII fragment described in the firstparagraph of this section were cloned by three-way ligation into pLPH1,using the BamHI and HindIII sites, generating a plasmid pLPH2. pLPH2contained nucleotides 1-3572 of LPH cDNA.

Fourth, a HindIII/StyI fragment corresponding to the nucleotides3572-5472 of the LPH cDNA was amplified by PCR using oligonucleotidesLPH3541 (SEQ ID NO. 6) and cLPH5470 (SEQ. ID NO. 7).

Fifth, an StyI/EcoRI fragment corresponding to the nucleotides 5472-6270of the LPH cDNA was amplified by PCR using oligonucleotides LPH5461 (SEQID NO. 8) and cLPH6270 (SEQ. ID NO. 9). This StyI/EcoRI fragment and theHindIII/StyI fragment described in the preceding paragraph were clonedby three-way ligation into pGEM4Z, using the EcoRI and HindIII sites,generating a plasmid pLPH3. pLPH3 contained nucleotides 3572-6270 of LPHcDNA.

Finally, the EcoRI/HindIII fragment from pLPH2 (nucleotides 1-3572 ofLPH cDNA) and the HindIII/EcoRI fragment from pLPH3 (nucleotides3572-6270 of LPH cDNA) were ligated in a three-way ligation into theEcoRI site of pGEM4Z, generating pLPH. The plasmid pLPH contained a fullcDNA sequence of LPH.

LPH1 (SEQ ID NO. 2) 5′-AAAGAATTCGTTCCTAGAAAATGGAGCTGTCTTGGCATGTAG-3′;cLPH1300 (SEQ ID NO. 3) 5′-CTGGCCACCTCCAGCGTCGCTTGGC-3′ LPH2841(SEQ ID NO. 4) 5′-AAAGACAATGCCACTGGAGACATCG-3′ cLPH3600 (SEQ ID NO. 5)5′-TGAACCTCTTCTCTTCCTCAGTGAA-3′ LPH3541 (SEQ ID NO. 6)5′-AACTGCAGCACTTAGCCACCTCCCG-3′ cLPH5470 (SEQ ID NO. 7)5′-ATGCTTTGGGGATCCTTGGCAAGAGA-3′ LPH5461 (SEQ ID NO. 8)5′-ACCCTTCTCTGCCAAGGATCCCCAA-3′ cLPH6270 (SEQ ID NO. 9)5′-AAAAGAATTCGGACAGTCTTCTGTTTTTATTTTCGGAAAA-3′

For experimental expression in mammalian cells, the full-length LPHsequence (EcoRI fragment containing nucleotides 1-6270) was subclonedinto the EcoRI site of pCMV2 (Invitrogen, Carlsbad, Calif.) to generatepS1234T (FIG. 1).

Experimental Animals

Sprague Dowley rats were housed under standard conditions and fed astandard diet. Water was given ad libitum. For Groups D and F, theanimals were pre-treated with amoxicillin or neomycin. For all groups,except control groups A and B, a suspension of bacterial cells was givenwith yogurt as food.

At the end of 14 weeks the animals were sacrificed. The followingparameters were measured during the course of the study: blood glucoseconcentration, lactase activity in the blood and stool, blood pH andtotal body weight. At the end of the study, lactase activity in theintestinal contents and the composition of intestinal microflora werealso measured.

Measuring Blood Glucose Concentration

To measure blood glucose concentration, blood was taken from the tailvein. 0.7 ml was collected from each animal. The test was done using ablood glucose meter.

Measuring Blood, Stool and Intestinal Lactase Activity

The lactase activity was determined by United States Pharmacopeia (USP)method (USP27, official monograph pages 1062-1063). The stool wasdispersed in buffer prior to the assay. Sections of the intestine weredissected and the contents were dispersed in buffer prior to the assay.

Counting the Number of Lactococci in the Intestine

The numbers of genetically engineered lactococci and wild-typelactococci were measured by suspending the intestinal contents andplating serial dilution of the suspensions on solid medium. Thelactococci were detected by microscopic examination of the bacterialflora under Olympus inverted microscope based on the bacterial cell'smorphology. The genetically engineered lactococci were detected.

The above examples are provided to illustrate the invention and not tolimit its scope. Other variants of the invention will be readilyapparent to one of ordinary skill in the art and are encompassed by theappended claims.

1. A composition for treating lactose intolerance in a mammal,comprising Lactobacillus acidophilus bacteria that are geneticallymodified to express a mammalian lactase-phlorizin hydrolase enzyme underthe control of a CMV promoter.
 2. The composition of claim 1, whereinsaid bacteria are capable of adhering to the intestinal surface.
 3. Thecomposition of claim 2, wherein said intestinal surface is within thesmall intestine. 4-6. (canceled)
 7. The composition of claim 1, whereinsaid bacteria are present as a live suspension.
 8. The composition ofclaim 1, wherein said bacteria are present as a lyophilized powder. 9.The composition of claim 8, further comprising an acid resistantcoating.
 10. The composition of claim 1, wherein said mammalianlactase-phlorizin hydrolase is expressed only the presence of lactose.11. A method of treating lactose intolerance in a mammal, comprisingcontacting the intestinal surface of said mammal with Lactobacillusacidophilus bacteria that are genetically modified to express amammalian lactase-phlorizin hydrolase enzyme under the control of a CMVpromoter.
 12. The method of claim 11, wherein the intestinal surface iswithin the small intestine. 13.-15. (canceled)
 16. The method of claim11, wherein the contacting step involves oral administration of saidbacteria.
 17. The method of claim 11, wherein said bacteria are coatedwith acid resistant coating.
 18. The method of claim 16, furthercomprising a step of reducing the acidity of the stomach environment ofsaid mammal prior to said oral administration of bacteria.
 19. Themethod of claim 16, further comprising a step of treating said mammalwith antibiotics prior to said oral administration of bacteria.
 20. Amethod of preparing a composition for treating lactose intolerance in amammal, comprising genetically modifying bacteria to expresslactase-phlorizin hydrolase enzyme under the control of a CMV promoter.21. The method of claim 20, wherein said bacteria belong to the grouphomolactic Lactic Acid Bacteria.
 22. The method of claim 21, whereinsaid bacteria are selected from a group consisting of Lactobacillusacidophilus, Lactobacillus delbruekii subsp. bulgaricus, Bifidobacteriumlactis and Streptococcus thermophilus.